Rapid, inexpensive real-time directed thoracentesis.

Harnsberger, H R; Lee, T G; Mukuno, D H

doi:10.1148/radiology.146.2.6849106

Cited by 38 publications

(13 citation statements)

References 0 publications

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“…In contrast, the pneumothorax rate associated with ultrasound-guided thoracenteses was lower, ranging from 0 to 9.1%. The rates of subsequent chest tube insertion for pneumothoraces ranged from 2.2-7% in those procedures without ultrasound guidance and 0-3.7% in procedures performed with ultrasound guidance [6,13,22,[25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44].…”

Section: Overall Incidence Of Pneumothorax and Impact Of Ultrasoundmentioning

confidence: 99%

Ultrasound for the Detection of Pleural Effusions and Guidance of the Thoracentesis Procedure

Sikora

Perera

Mailhot

et al. 2012

ISRN Emergency Medicine

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Objective. To review the use of ultrasound for the detection of pleural effusions and guidance of the thoracentesis procedure. Methods. Two clinical cases will be presented in which ultrasound proved beneficial in guiding the diagnosis and management of patients with pleural effusions and respiratory distress. The ultrasound techniques for the evaluation of pleural effusions and performance of the thoracentesis procedure are discussed. A review of the most current literature follows to present the known diagnostic and safety benefits of ultrasound guidance for thoracentesis. Conclusions. Ultrasound improves the diagnostic accuracy for the detection of pleural effusions over standard chest radiographs. Ultrasound can also diagnose a complicated pleural effusion that may be at higher risk for an adverse outcome during a thoracentesis. Optimally, thoracentesis should be performed under direct ultrasound guidance to decrease the complication rate and improve patient safety.

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Section: Overall Incidence Of Pneumothorax and Impact Of Ultrasoundmentioning

confidence: 99%

Ultrasound for the Detection of Pleural Effusions and Guidance of the Thoracentesis Procedure

Sikora

Perera

Mailhot

et al. 2012

ISRN Emergency Medicine

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“…Pleural friction rubs are common (85,86). The chest radiograph usually shows moderate pleural effusions that may be unilateral or bilateral, although massive effusions have been described (85,(87)(88)(89). Thoracentesis reveals a serosanguineous to bloody exudate (85,87); however, the fluid may be serous (85,88).…”

Section: Evaluation Of Pleural Effusions Pretransplantmentioning

confidence: 99%

“…The pleural effusions usually resolve with continued dialysis over several weeks, but they may recur (85). Fibrothorax requiring decortication and empyema may complicate these effusions (88)(89)(90). Uremic pleural effusions are diagnosed clinically when other causes of exudates, particularly tuberculous pleurisy, have been excluded.…”

Section: Evaluation Of Pleural Effusions Pretransplantmentioning

confidence: 99%

The pleural space and organ transplantation.

Judson

Sahn²

1996

Am J Respir Crit Care Med

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Pleural disease both before and after organ transplantation has important implications. Pleural effusions are common in candidates for heart, liver, and kidney transplantation. A thoracentesis is not mandatory in these patients, but it should be performed if clinical or radiologic features suggest that the effusion is not the result of organ failure. Posttransplant pleural infections and pleural PTLD relate to the level and duration of immunosuppression and are probably not organ-specific. Organ-specific pleural complications include pleural effusion from hepatic venoocclusive disease, spontaneous pneumothorax associated with obstructive airway disease from chronic GVHD after bone marrow transplantation, and early pleural effusion from urinothorax and late effusion from perirenal lymphocele years after kidney transplantation. The treatment of pleural disease in potential lung transplant candidates should minimize the extent of pleurodesis. Pleural effusions are expected sequelae after lung transplantation, and they may be harbingers of acute rejection. Interpleural communication, an expected finding after heart-lung transplantation or double-lung transplantation with a "clamshell" incision, has therapeutic implications.

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“…Since then, it has also emerged as a fundamental tool for use during thoracentesis (US-guided) [6,7], biopsy of subparietal pulmonary nodules [8], assessment of mediastinal pathology [9], pleural sclerotherapy and chest-tube placement [10], and today contrast-enhanced US (CEUS) is even being used for the characterization of pulmonary nodules [11]. The 1990s witnessed the opening of the fascinating new field of endoscopic US, in which sonography was combined with esophagoscopy or bronchoscopy [12e14].…”

Section: Introductionmentioning

confidence: 99%